A new report from Cotiviti and MedCity News suggests healthcare’s biggest AI challenge is no longer adoption. As AI becomes embedded in clinical, administrative and financial workflows, healthcare leaders are increasingly focused on the governance, security and accountability needed to use it responsibly. The 2026 Healthcare AI Readiness Index surveyed 70 healthcare leaders over the summer of 2026.
More than 70% of respondents said they have begun using AI tools, with nearly 40% of health insurers describing AI as a core aspect of their business. Providers, however, are earlier in the process, with more than 70% still in the early stages of adoption.
Yet the systems needed to govern AI use are still developing. Only 42% of payers and 32% of providers report being “very prepared” to respond to AI-assisted cyberattacks. More than half of payers (60%) and 64% of providers report employees are using unauthorized or non-integrated “shadow AI” tools, while fewer than 40% have detailed policies governing employee use of AI.
“AI is quickly becoming part of the infrastructure of healthcare, but the security and governance around it have to advance just as quickly,” said Ric Sinclair, CEO of Cotiviti. “As health plans and healthcare organizations rely on AI across more critical workflows, they need confidence that the technology and partners throughout their ecosystems meet the same high standards for security, governance and responsible use. Trust will be foundational to realizing AI’s full potential in healthcare.”
Beyond measuring adoption rates, the Index explores how healthcare leaders are building the operational foundations required for responsible AI use.
To access the 2026 Healthcare AI Readiness Index, please fill in the form below: